Provider Demographics
NPI:1558317248
Name:BAILEY, PATRICK V (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:V
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2601 E ROOSEVELT ST
Mailing Address - Street 2:DEPARTMENT OF SURGERY - HOGAN BLDG. 2ND FLOOR
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-4973
Mailing Address - Country:US
Mailing Address - Phone:602-344-5056
Mailing Address - Fax:602-344-5048
Practice Address - Street 1:2601 E ROOSEVELT ST
Practice Address - Street 2:DEPARTMENT OF SURGERY - HOGAN BLDG. 2ND FLOOR
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-4973
Practice Address - Country:US
Practice Address - Phone:602-344-5056
Practice Address - Fax:602-344-5048
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2011-12-28
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Provider Licenses
StateLicense IDTaxonomies
AZ35652282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
G87385Medicare UPIN